Audrey A Vincent | Merrillville, IN • PECOS Search

Audrey A Vincent

Chiropractor

Chiropractic Providers

6505 Broadway, Merrillville, IN 46410-3009

(219) 769-7500 (802) 688-3904

PECOS Enrollment

Based on the most recent information from CMS, provider Audrey A Vincent does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760093223
Provider Type
Individual
Full Name
Vincent, Audrey A
Credential
DC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/10/2020
Last Updated
8/10/2020

Contact Information

Practice Location

6505 Broadway, Merrillville, IN 46410-3009

Unlisted Fax

Mailing Location

317 Pettibone St, Crown Point, IN 46307-4449

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 08003158A Indiana